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目的 探讨酒精性肝硬化患者中饮酒模式与腹水发生的危险因素分析。方法 选取2023年5月至2024年10月解放军北部战区总医院收治的115例酒精性肝硬化患者，均为男性，年龄（57.56±8.71）岁，年龄范围为34～77岁。通过问卷调查与病历回顾，统计患者入院时并发腹水情况，比较并发腹水患者与未并发腹水患者的饮酒情况及临床资料，通过logistic回归分析筛选影响酒精性肝硬化患者并发腹水的相关危险因素。结果 多因素logistic回归分析结果显示，饮酒后饮茶与酒精性肝硬化合并腹水的风险降低独立相关，居住在城镇的患者与合并腹水的风险降低独立相关（P<0.05）。结论 饮酒后饮茶与酒精性肝硬化患者发生腹水的风险降低呈独立相关，居住在城镇的酒精性肝硬化患者也与腹水风险的降低存在独立相关性。
Abstract：Objective To explore the Analysis of drinking patterns and risk factors for ascites in patients with alcoholic cirrhosis.Methods A total of 115 male patients with alcoholic cirrhosis,aged(57.56 ± 8.71)years old,ranging from 34 to 77 years old,were selected from the General Hospital of Northern Theater Command between May 2023 and October 2024. Using questionnaires and medical record reviews,the presence of ascites upon admission was recorded. Drinking patterns and clinical data were compared between patients with and without ascites,and logistic regression analysis was performed to identify relevant risk factors affecting the occurrence of ascites in patients with alcoholic cirrhosis. Results Multivariate logistic regression analysis showed that drinking tea after alcohol consumption was independently associated with a reduced risk of ascites in patients with alcoholic cirrhosis,as was living in urban areas(P<0.05). Conclusion Drinking tea after consuming alcohol is independently associated with a reduced risk of ascites in patients with alcoholic cirrhosis. Additionally,residing in urban areas is also independently associated with a reduced risk of ascites in these patients.
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基本信息:
DOI：10.16048/j.issn.2095-5561.2025.05.01
中图分类号:R575.2
引用信息:
[1]丁思元,卢盛言,李佳宇,等.酒精性肝硬化患者饮酒模式与腹水发生的危险因素分析[J].创伤与急危重病医学,2025,13(05):321-325.DOI:10.16048/j.issn.2095-5561.2025.05.01.